What problem does it solve?
This Skill recovers social determinants of health documented in clinical narratives but often missing from structured coding, then suggests relevant ICD-10-CM Z-codes for human confirmation.
Core Features & Use Cases
- SDOH Extraction: Identify housing instability, food insecurity, unemployment, transportation barriers, social isolation, financial strain, and related social risks in clinical text.
- Z-Code Mapping: Map extracted spans to candidate ICD-10-CM Z55–Z65 codes using a curated lookup aligned with Gravity Project domains.
- Safety and Interoperability: Preserve source spans, confidence scores, negation and temporality considerations, and support downstream FHIR Condition or Observation workflows without auto-billing inferred codes.
- Use Case: Use the Skill to surface undocumented housing and transportation risks from de-identified patient notes for health-equity dashboards, coder review, or closed-loop referrals.
Quick Start
Use the extracting-sdoh skill after de-identifying a clinical note and running OpenMed NER to produce span-anchored SDOH findings and candidate ICD-10-CM Z-codes for human review.